Home >News > ProMED翻訳情報(219回) ~コンゴでの赤ん坊から家族への狂犬病感染の可能性~

ProMED翻訳情報(219回) ~コンゴでの赤ん坊から家族への狂犬病感染の可能性~




Date: Mon 7 Oct 2013

Source: METRO, Reuters report [edited]


A baby was one of 10 to die in a rabies outbreak in the Democratic Republic of Congo [DRC].


A baby infected with rabies unwittingly spread the disease by biting its father and brother, a medical charity has revealed. The infant was among 10 people to die in an outbreak in the war-ravaged DRC. Another 154 people have been infected.


The baby’s 27-year-old father and 7-year-old brother were both treated and have recovered, Medecins Sans Frontieres [MSF] told Metro. Team leader Dr Jantina Mandelkow said: “I held my breath when I heard that a child dying of rabies had bitten and infected his father and brother; it was horrific. It’s an impossible situation. Family members would obviously want to be with those who are ill, but when a person has rabies, they can be a danger to people around them.”

その赤ちゃんの父親27歳と兄7歳は、双方とも治療を受け回復した、と国境なき医師団(MSF)がMetro語った。チームリーダーのJantina Mandelkow博士は言った「狂犬病で死に行く子どもが、彼の父と兄を噛んで感染させたことを聞いたとき、私は息をのんだ。それは恐ろしいことであった。それはとても信じられない状況である。家族は病気のものに寄り添うことを明確に望むであろう、しかしその人物が狂犬病である時、彼らは彼らを取り巻く人々の脅威になりえる。」

MSF teams have vaccinated 106 people in eastern Lemera but fear there could be at least 20 more untreated cases.


Rabies originates in stray dogs, and MSF is demanding that the Congolese government vaccinate domestic animals, as many people cannot afford the GBP 3.75 [6.00] fee. Healthcare has been severely debilitated by [political] instability that has claimed 5.4 million lives since the outbreak of civil war in 1998.

狂犬病は放浪犬に始まる、そして、多くの人々が3.75 UKポンド(6.00 USD)の費用を負担できないので、MSFはコンゴ政府に家畜に予防接種を行うことの多くを求めている。1998年の内戦勃発以来540万人の人生をうばった(政治的な)不安定さによって、健康管理は極度に衰退した。

“Rabies leads to death without treatment, and people in Lemera were incredibly scared; many walked for days to get to the hospital for treatment,” Dr Mandelkow added. “With vaccinations unavailable elsewhere, they had nowhere else to turn. The situation in Lemera is exceptional and must be urgently addressed.”


[Byline: Aidan Radnedge]

Communicated by:

Michelle Sellors <michelle.sellors@masta.org>

[Lemera is located in the province of South Kivu in the Democratic Republic of Congo.

Lemeraはコンゴ民主共和国の南 Kivu州に位置する。

The above report is lacking in specific detail. It is presumed that the baby contracted infection from a dog-bite and in turn infected its father and elder brother, apparently by biting them, a rather unusual route of transmission of infection. It is not clear why the baby,unlike its family members, did not received post-exposure prophylaxis.


The circumstances surrounding the deaths of another 10 people are not explained other than that anti-rabies treatment in the Democratic Republic of Congo is expensive and not widely available. A programme to vaccinate domestic dogs announced in a ProMED-mail report in 2004 does not appear to have been undertaken due to lack of finance.


We thank Edith Marshall, DVM, MPVM, DACVPM, Adjunct Associate Professor, Washington State University Paul G. Allen School for Global Animal Health for submitting a similar report from the MSF website:


我々は、MSF websiteからの類似の報告を投稿することに対して、Washington State University Paul G. Allen School for Global Animal HealthのEdith Marshall, DVM, MPVM, DACVPM, Adjunct Associate Professorに感謝する。

More specific information regarding this case of human-to-human transmission of rabies virus infection would be appreciated.  – Mod.CP